Individual provider · Type 1 NPI

Timothy Carter Fortin

Registered Nurse · Boise, ID

NPI number 1659200764 Active

Practice location

5288 N Samson Ave
Boise, ID 83704-1971

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN6771841 (ID)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1659200764

Timothy Carter Fortin's National Provider Identifier is 1659200764, issued on May 15, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Boise, ID. The record was last updated on May 15, 2026.